Individual provider Active NPI

Brian Leng

  • Surgical Physician Assistant
  • Canyon Country, CA
National Provider Identifier
1710673108
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA63732 Issued in CA
Practice address
18591 Soledad Canyon Rd
Canyon Country, CA 91351-3774
Phone
(661) 252-7778
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA63732 CA Primary

Addresses

Primary practice location

18591 Soledad Canyon Rd
Canyon Country, CA 91351-3774

Mailing address

18591 Soledad Canyon Rd
Canyon Country, CA 91351-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223004124 CA Practitioner - Physician Assistant 3577908037 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians
Blair S Kranson M D IncGroup PAC ID 7416072319, 4 clinicians

Practice addresses (Care Compare)

210 S Grand Ave
Suite 425
Glendora, CA 91741-4294
Phone (626) 963-0226

7320 Woodlake Ave
Suite 395
West Hills, CA 91307-1496
Phone (818) 347-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA63732CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Dermatology Associates Medical Group Inc Current Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Nov 22, 2025 Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Nov 22, 2025 Accepting new patients
Skin and Beauty Center Inc CurrentSince Dec 9, 2024 Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

18591 Soledad Canyon Rd
Canyon Country, CA 91351
Phone (661) 252-7778

210 S Grand Ave
Ste 425
Glendora, CA 91741
Phone (626) 335-0213

9301 Central Ave
Ste 201
Montclair, CA 91763
Phone (909) 621-5005

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

2802 Pacific Coast Hwy
#1182
Torrance, CA 90505
Phone (310) 274-5372

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

7320 Woodlake Ave
Ste 395
West Hills, CA 91307
Phone (818) 347-0681

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1710673108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18591 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18591 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513774",
            "telephone_number": "661-252-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENG",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA63732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.